Bennett, Garrett

Bennett, Garrett is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Suite 110 , Fort Wayne IN 46845. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bennett, Garrett can be contacted via phone (260) 425-6780.

Contact Information

Primary practice address
11104 Parkview Circle Dr Suite 110 Fort Wayne IN 46845
Phone: (260) 425-6780
Fax: (260) 425-6615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 306317 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Louisiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01082465A Indiana

Profile Details

NPI number 1174884431
LBN Legal business name Bennett, Garrett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated May 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174884431 NPPES
Indiana MEDICAID 300028176

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